Orion Pediatric Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101612 Issued in TX

Legal business name

ORION PEDIATRIC THERAPY

Practice address

1606 E Quail St
D
Pharr, TX 78577-7167

Phone

(956) 983-2440

Fax

(832) 582-3660

NPI assigned

Oct 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audra Alvizo

Title

Administrator

Phone

(956) 983-2440

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1023480209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 E QUAIL ST",
            "address_2": "D",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777167",
            "telephone_number": "956-983-2440",
            "fax_number": "832-582-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 E QUAIL ST",
            "address_2": "D",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777167",
            "telephone_number": "956-983-2440",
            "fax_number": "832-582-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "ALVIZO",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-983-2440"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD SPEECH LICENSE",
            "identifier": "101612",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Pharr, TX
• Providers in Pharr, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.